title: [Effectiveness and Cost-Effectiveness of a Multifactorial Fall Prevention Programme in Nursing Homes in a Real-World Setting].
abstract: The purpose of the present study was to analyse the effectiveness and cost-effectiveness of a multifactorial fall prevention programme in nursing home residents in a real-world setting. The adjusted relative risk of a femoral fracture was 0.82 (95% CI 0.72-0.93) in residents exposed to the fall and fracture prevention programme compared to residents from the control group. Given a willingness-to-pay of 50,000 EUR per year free of femoral fractures from a payer perspective the probability that the intervention is cost-effective was 83%.
authors.affiliation: Institut für Gesundheitsökonomie und -Versorgungsforschgung, Hamburg Center for Health Economics, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: S
authors.initials: S
authors.lastname: Heinrich
authors.affiliation: Robert-Bosch-Krankenhaus, Klinik für geriatrische Rehabilitation, Stuttgart.
authors.forename: K
authors.initials: K
authors.lastname: Rapp
authors.affiliation: Robert-Bosch-Krankenhaus, Klinik für geriatrische Rehabilitation, Stuttgart.
authors.forename: U
authors.initials: U
authors.lastname: Rissmann
authors.affiliation: Institut für Gesundheitsökonomie und -Versorgungsforschgung, Hamburg Center for Health Economics, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: H-H
authors.initials: HH
authors.lastname: König
authors.affiliation: Robert-Bosch-Krankenhaus, Klinik für geriatrische Rehabilitation, Stuttgart.
authors.forename: C
authors.initials: C
authors.lastname: Becker
mesh_terms: D000058:Accidental Falls / Q000191:economics* / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis / Q000191:economics; D005260:Female; D005264:Femoral Fractures / Q000191:economics* / Q000453:epidemiology / Q000517:prevention & control*; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data; D006293:Health Promotion / Q000191:economics / Q000379:methods; D006707:Homes for the Aged / Q000191:economics*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000191:economics*; D015397:Program Evaluation; D012307:Risk Factors; D016896:Treatment Outcome